Individual
DR. KEVIN B STROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 E 26TH ST, SIOUX FALLS, SD 57105-4023
(605) 338-7098
(605) 335-3505
Mailing address
5004 S LEWIS AVE, SIOUX FALLS, SD 57108-4713
(605) 335-6386
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4847
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007925
BLUE CROSS SD
SD
01
—
44F69ST
BLUE CROSS MN
MN
05
—
5701010
—
SD
Enumeration date
06/08/2006
Last updated
04/04/2008
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